Skip to main content

The first diagnosed autoimmune disease I have was hypothyroidism - not getting enough action out of my sluggish thyroid.  My dose of medication barely changed for over a decade until my surgeries over 4 years ago.  It took 18 months to get it sort of under control. I needed to take a new dose for 6 weeks before testing it again.  It is a slow process.  I was loosing weight rapidly so the doctors didn't seem too concerned. I tried at least 5 different strengths before it stabilized but still had to change the dose every once in a while.

 

Now it is way off of the charts sluggish again.  It was so bad when they tested it at Mayo in February I emailed my doctor asking her to give a lab order to retest it.  Her nurse called and said "she wants to SEE you in the morning because if you really have a reading that high you would be in the hospital." It's been a slow change and test and wait for 6 weeks process. I've finally gotten her to refer me to an Endocrinologist.  She wants to refer me as the last marathon had a lot to do with my rapid weight loss.  The first time he office could get me in is 6/2 - over a month from now.

 

I've researched it on the internet and am surprised at the way mainstream treatment is handled.  Without getting too wordy, there are several kinds of thyroid readings and it affects around 5 different glands in our body, like pituitary glands, adrenals and so on. I don't trust the internet as much as my doctors so am not thinking it is the end of the world or anything like that.  There are some kooky charlatans on the internet in about everything we look up.

 

My Mayo GI says it is important to have it under control as it affects our j-pouch function. When I first met him for my UC second opinion in 1998 it was off.  When I first went back due to my j-pouch problems in 2012 it was really off, .03 when the bottom range is .30. I've convinced myself it affects about every cell in our bodies.  My latest Mayo test - I have no idea why the reading was so high - was 19.8.  The range is .3 - 4.2.  Since there are different tests, you'd need to check what normal is for the one you take.  The local test 2 days after the Mayo one was almost 12.  6 weeks after that almost 11.  I will be taking another test before the 6/2 appointment and know it's not going to be in the normal range and  I've read that the optimal is really 2.5!!!!

 

Have any of you had such a roller coaster trip with your thyroid?  My metabolism is so slow now that if I even look at ice cream I gain weight. My hair isn't falling out yet, like it did 4 years ago, and I have chronic fatigue syndrome so don't notice if I have any additional fatigue.  

 

Along with our vitamin D, potassium, iron et al please get your thyroid tested.  It can affect pouch function.  I don't know specifically how because I have chronic cuffitis, chronic pouchitis, total pouch inflammation and IPS.  I don't understand how the inflammation is different than pouchitis but my pouchitis doesn't look too bad on the inside during scopes but the radiology tests show more inflammation.  

 

I am hoping for a medical miracle here - that my thyroid finally gets where it needs to be and I'll have no more j-pouch problems and will loose the weight I've gained back. Or that I get rid of the chronic fatigue and will be able to exercise!

 

Do any of you have thyroid problems?  If so could you please tell me what helps/helped  you.

 

 

Last edited by TE Marie
Original Post

Replies sorted oldest to newest

They must be expecting trouble because my primary doc has been monitoring my TSH for years. So far, so good. But, I do have vitamin D deficiency and need 8,000-10,000 IU daily to stay inrange. My B-12 was low too, but responded to oral supplements. I was hoping that bringing up my D would improve my arthritis, but no Luck yet.

 

Must be exhausting to be chasing those thyroid levels!

 

Jan

Once you get one auto immune disease more are sure to follow.  I think I heard that on this site. It's good your doctor is checking it all out.  I've been D deficient in the past and she prescribed me 100,000 IU's for a  few weeks then I followed the advice of my nutritionist and took 10,000 IU daily until I tested in the 60's.  I'm on 5,000 daily now.  Anything to give me a hint of more energy I am going to do. During my thyroid reading  B-12 has popped up and is somehow involved too.  I'm having "heat flashes" that are totally different than hot flashes. My temperature really does gets about a degree higher than normal. It's like my thermostat needs replacing too.  I wish I could throw in the towel and start with a new body or at least a rebuilt one without faulty plumbing!!!!!

I've had up and down thyroid but it seems to be seasonal with me...I had an enlarged thyroid from around Oct to March and then it went back to normal...they tested me after my doctor panicked...it was so swollen that I could feel it when I swallowed so they did an ultrasound and it was swollen but no tumours...then it went down. This is the 2nd year that it has done this...he says that some people have a seasonal connection (kind of like it goes into hybernation)...it is apparently not so unusual. The endocrinolgist says that he sees it often and that you should be tested at the same periods every year (Jan, March, July, Nov) to see the seasonal evolution...

I feel the difference when I am up or down but I am always subclinical. I get sluggish, confused, fat, my nails get fragile etc but when it is back up I can do just about anything (within limits) and look and feel healthy.

I am just incapable of losing the weight that I gain...it takes superhuman strength and about 4 hours of exercise/day for 2 months to lose about 6lbs....I do it every year hoping to keep it off but by winter it is back.

I hope that you get it back on track

Sharon

Thanks Dew.  She has tested for more than one thing for my thyroid recently.  Hopefully the Endocrinologist can use that testing along with the tests she is going to order.  My latest test was again 2-3 times what it should be.  3 times the optimal level and 2 times using the top of the range.

 

Still 3 weeks until the appointment with the specialist.  I don't feel any better with the recent 3 increases in the medication strengths.

Last edited by TE Marie

Thanks  for the link Dew.  I've had a problem with my thyroid since they removed it over 4 years ago.  It was stabilized for a while before tanking again.  If I got the results of this test I still need a doctor to prescribe my medication (s). So I'm waiting for the appointment with the specialist 6/2.  If I'd been seen by my GI instead of the NP I think my GI would have sent me to someone at Mayo.  I was so worried about my j-pouch all of the other results didn't sink in until the next day. 

 

The doctor they are sending me to specializes and diabetics and thyroid diseases.  If she doesn't impress me I will be calling Mayo's.  I already am  seen by 3 departments there so adding a 4th is fine with me.

 

 

Years and years ago I had radioactive iodine treatment of my hyperactive thyroid.  No ulcerative colitis symptoms at the time.  Over the years my need for thyroid hormone replacement levels have fluctuated.  I get it checked just about every 6 months.  As I get older my thyroid replacement medication dosage needs seem to lessen.  My endocrinologist tends to want to keep my levels a bit low.  Says it is healthier.  I've had my J-pouch for over 10 years and am not aware of a relationship between the two.  I just go with the flow!

Hypothyroidism was diagnosed and treated before my UC was discovered.  The medication strength barely changed until I got UC.  It took a while to get to the dose right and then it only was checked annually.  I don't know why it's been in such a mess the last 4 years but it did go crazy and took 18 months to get the right strength of medication after my surgeries.  I have no idea why it's messed up again.  That's why I am going to see an endocrinologist.  

 

I never had an Iodine treatment or anything other than generic synthroid to treat it.  I'm glad you told me about it CeeeeCeeee!

I don't know what testing will be done by the endocrinologist.  Because they are probably just testing for TSH most of the time it is clear they need to do more.  My PCP ordered more thyroid tests in February but I don't know which ones they were.  The results for those were normal but the one they always test wasn't.  The range should be .3 - 4.2 and the preferred is 2.5.

 

I had 19.8 at Mayo but was having a pouchoscope and took the medication with a sip of water before the fasting blood tests.  I understand they can affect the readings.  2 days later I tested at almost 12 and she increased my medication. 6 weeks later it was almost 11 and she increased me dose again. 6 weeks later and it was 7.4 so she increased it again.  It's like the movie "Ground Hogs Day".  I went through all of the in 2011-12.  I was on every dose including 175 to 88 and back to 112 or 125 where is stabilized for a while.  First they had to decrease it as I tested .03 when the bottom of the range is .3.  So they kept retesting and reducing the strength of medication.  Now I'm way over the top of the range so they are increasing the dosage and I am back up to 175.  

 

I have a nodule or something like that on one of my adrenal glands that radiology just looks at during every CTscan and says there is no change and it is blown off. The thyroid regulates many glands' performances and about every cell in our body.  I have Chronic Fatigue and Fibromyalgia so I have no idea if this is contributing to my fatigue but it is contributing to me gaining weight.  I lost all the prednisone weight after the surgeries and have started gaining again.  I think water has calories these days  I've also had what I call "heat flashes" because they aren't hot flashes and I know that because I had hot flashes and they were over before I had my surgeries 4.5 years ago.  

 

I've read up a lot and we should not rely on the testing of just T3 or T4.  There is a whole list of other testing that should be done.

 

When you gather up a bundle of health diseases and syndromes like I have it's difficult to tell what is causing what as the symptoms overlap.  It is going to be good to get at least ONE thing under control.  

 

Thanks everybody!!

Add Reply

Post
Copyright © 2019 The J-Pouch Group. All rights reserved.
×
×
×
×
Link copied to your clipboard.
×